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Infusions

Infusions

These treatments involve delivering medication intravenously or under the skin to help reset pain receptors. These are performed in hospital under the supervision of our Pain Specialists. We will monitor your progress and adjust as needed to ensure the best possible results.
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Some examples of infusions for pain management include:

  • Ketamine Infusions: delivery of a low-dose anaesthetic medication to reset pain signals in the brain and spinal cord. They can help with symptoms of neuropathic pain, complex regional pain syndrome and fibromyalgia.
  • Lignocaine Infusions: delivery of a local anaesthetic medication to reduce peripheral and central pain signals . These can help with symptoms of neuropathic pain, post-herpetic neuralgia and phantom limb pain.

Commonly Asked Questions

  • Will I have a ketamine infusion?

    At your first appointment, your doctor will recommend and discuss treatment options that are tailored to your unique needs. A recommendation may include a Ketamine infusion. If so, the benefits and risks of this option will be discussed with you.

  • What is ketamine?

    Ketamine is an anaesthetic medication, which in very small doses can be used to help control pain that does not respond to standard therapies. It has been used in Anaesthesia and Pain Medicine for many years. Ketamine infusion therapy can help reduce your pain intensity and break your pain cycle. Better pain control can help your body to recover, allowing you to get back to what you enjoy doing faster.

  • How does ketamine work?

    Ketamine works by

    • Targeting NMDA receptors to decrease pain signals
    • Reducing inflammation
    • Increasing the amount of GABA in the brain which has a calming effect on the nervous system
    • Interacting with various receptors and brain regions to improve mood and reduce pain
  • Will ketamine therapy work for me?

    Ketamine therapy will not work for everyone, but for those who respond well, it can offer significant relief. Our doctors will determine your suitability and advise you on whether you are likely to benefit from this treatment.

  • Are ketamine infusions safe?

    Ketamine infusions have been used safely by Pain Specialists for many years. Pain Specialists have undergone many years of medical training to be able to safely administer these medications. It is important to undergo medical assessment prior to the infusion to determine your suitability for the infusion. In suitable patients, they are a low-risk, minimally invasive option that can help manage your pain. It is important to be aware that Ketamine infusions are not first line treatment option for pain management, and are an option when more conventional treatments have failed.

  • How long is each treatment session?

    Your doctor will discuss the duration of your ketamine infusion with you. The length of your infusion will depend on the nature of your pain, if you have had previous infusions and how well you tolerated the treatment.

  • What does it involve?

    Ketamine infusions are administered in hospital. You will be admitted as an in-patient at one of our affiliated private hospitals. This is to enable us to closely monitor you for the duration of the infusion.

  • How is the treatment administered?

    Once the hospital admission process is complete, your Ketamine infusion is given to you using a pre-programmed pump under the direction of your Pain Specialist. Your vital signs and pain levels will be periodically checked by the nursing staff looking after you for the duration of the treatment. They will liaise closely with your treating doctor about your progress and to address any concerns that arise during your treatment.

  • How often will I need the infusion?

    In some cases, an one-off treatment may be effective in breaking your pain cycle which can lead to long lasting relief. However, pain treatments are not curative and repeat infusions can be given and may be offered to you depending on your treatment response.

  • Are there any contraindications?

    Ketamine is avoided or used with extreme caution in the following groups of patients.

    • Those with psychotic disorders, due to risk of worsening psychosis
    • History of substance use disorder, due to the euphoric effects of ketamine.
    • Pregnant or breastfeeding, due to risk to their child
    • Liver dysfunction
  • Are there any side effects?

    Ketamine infusions have been used safely by Pain Specialists and the procedure is largely well tolerated.

    Common side effects include:

    • Increase in blood pressure and/ or pulse.
    • Light-headedness
    • Tingling
    • Blurred vision
    • Dizziness

    Rarer side effects include.

    • Nausea
    • Hallucinations

    If the side effects continue or you are worried about your response, please let the nurses looking after you know, and they can contact your doctor for further advice.